﻿<p ><!-- id="test" -->
	<label for="fact_groupe">Facturation groupe</label>
	<input type="checkbox" id="fact_groupe" />	<!--  style="margin-left:-75px;" -->
</p>

	<p>
	<fieldset>
		<label for="usager">Usager :</label>
		<input class="text" type="textfield" id="usager"><!--  style="margin-left:-145px;" -->
	</p>
	<p>
		<table id="table_groupe" class="tableau_general"> 
			<tr>
				<td class="tres_grand" style="border:none"></td>
				<td class="petit">Nb de participants</td>
				<td class="petit">Prix unitaire</td>
				<td class="petit">Total à régler</td>
			</tr>
			<tr>
				<td class="tres_grand">Total séjour</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Particip. orga.</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Cotisation annuelle</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Montant transports</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Assurance annuelle</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Remise spéciale</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Frais sur annulation</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Trop perçu</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
		</table>
		<table id="table_echeance" class="tableau_general">
			<tr>
				<td>Echéances</td>
				<td>Montant</td>
			</tr>
			<tr>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
		
		
		</table>
		<table id="table_acompte" class="tableau_general">
			<tr>
				<td class="tres_grand">Acompte</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Acompte</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Acompte</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Acompte</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Solde</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="tres_grand">Solde à payer</td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
		</table>
		<table id="table_versement" class="tableau_general">
			<tr>
				<td class="moyen">Verse le</td>
				<td class="moyen"><input class="petit" type="text"/></td>
				<td class="tres_grand">Mode règlement</td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
			<td class="moyen">Verse le</td>
				<td class="moyen"><input class="petit" type="text"/></td>
				<td class="tres_grand">Mode règlement</td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="moyen">Verse le</td>
				<td class="moyen"><input class="petit" type="text"/></td>
				<td class="tres_grand">Mode règlement</td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="moyen">Verse le</td>
				<td class="moyen"><input class="petit" type="text"/></td>
				<td class="tres_grand">Mode règlement</td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="moyen">Verse le</td>
				<td class="moyen"><input class="petit" type="text"/></td>
				<td class="tres_grand">Mode règlement</td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
			<tr>
				<td class="moyen">Verse le</td>
				<td class="moyen"><input class="petit" type="text"/></td>
				<td class="tres_grand">Mode règlement</td>
				<td class="petit"><input class="petit" type="text"/></td>
			</tr>
		</table></p>
		<p  id="facturation" ><!-- class="tableau_general" -->
			<label for="facturer">A facturer :</label><input type="checkbox" id="facturer" /><!-- style="margin-left:-125px;" --><!-- class="c2" -->
			<label class="" for="date_facture">Facture le :</label><input class="moyen" type="text" id="date_facture"/><!--  style="margin-left:-120px" -->
			<label class="c2" for="num_facture">Facture n° :</label><input class="moyen" type="text" id="num_facture"/><!-- style="margin-left:-120px"  -->
			<label class="" for="montant_facture">Montant :</label><input class="moyen" type="text" id="montant_facture"/><!-- style="margin-left:-120px"  -->
			<label class="c2" for="relance">Relance :</label><input type="checkbox" id="relance" /><!-- style="margin-left:-125px;" -->
		</p>
		</fieldset>
	</p>
